Contract Details
Encore Rehabilitation, Inc.
Facility name
Encore Rehab of Gordo
Provider ID
P000007136
NPI
1598013187
Tax ID
631225408
Effective Date
9/1/2019
Last Updated
9/12/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
219 Industrial Park Street
Gordo, AL 35466
United States
County
Pickens
Phone
2053641003 (Phone)
Billing Details
Address
1908 Flint Road Southeast
Decatur, AL 35601
Billing Phone
2563409708
Specialty Type
Physical Therapy
Map
Address